Individualized breathlessness interventions may improve outcomes in patients with advanced COPD

Abstract

This feasibility study of individualized breathlessness interventions in patients with severe COPD and refractory breathlessness is the first to demonstrate a clinically significant reduction in dyspnoea scores, with high levels of patient acceptability.

The Susceptibles, Chancers, Pragmatists, and Fair Players: An Examination of the Sport Drug Control Model for Adolescent Athletes, Cluster Effects, and Norm Values Among Adolescent Athletes

“…If, for example, certain athletes are deemed to have a profile that is related to being susceptible to doping or they have a favorable attitude toward doping, they could be exposed to an individualized education program, which reflects their scores on other elements of the SDCM-AA. Evidence from other domains, such as education and medicine, revealed that individualized interventions are superior to generic interventions (e.g., Qian et al, 2018;Chen et al, 2019;Partanen et al, 2019). Published interventions designed to reduce doping prevalence have not differentiated between individuals and thus considered individual athletes' existing knowledge, attitudes, or susceptibility.…”

Contemporary Concise Review 2018: Asthma and chronic obstructive pulmonary disease

“…Qian et al . conducted a pilot study of a breathlessness intervention in advanced COPD . A combination of education, breathing techniques, a hand‐held fan and selective use of oxygen, opioids and anxiolytics led to significant improvements in quality of life .…”

“…conducted a pilot study of a breathlessness intervention in advanced COPD . A combination of education, breathing techniques, a hand‐held fan and selective use of oxygen, opioids and anxiolytics led to significant improvements in quality of life . An editorial called for randomized controlled trials to assess which components of the intervention are most beneficial …”

Targeting dyspnoea in patients with very severe COPD: Practical precision medicine

“…In a recent publication in Respirology , a small pilot trial provides hope for the field and more importantly to the patients suffering from this life impairing symptom . Qian et al .…”

“…In a recent publication in Respirology, a small pilot trial provides hope for the field and more importantly to the patients suffering from this life impairing symptom. 2 Qian et al were able to complete a study in 26 of 32 COPD patients suffering from severe dyspnoea. Variables including dyspnoea, health status and anxiety and depression were evaluated at baseline and 6 weeks after a dyspnoea-directed multidimensional intervention.…”